Active NPI
Test Me Out Inc
- Prosthetic/Orthotic Supplier
- New Bern, NC
National Provider Identifier
1073663373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 018518
- Legal business name
- TEST ME OUT INC
- Practice address
- 3262 Wellons Blvd
New Bern, NC 28562-5234 - Phone
- (252) 635-6770
- Fax
- (252) 635-9577
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janis T Gaskill, C.M.F.
- Title
- Owner
- Phone
- (252) 635-6770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 018518 | NC | Primary |
Addresses
Primary practice location
3262 Wellons Blvd
New Bern, NC 28562-5234
Mailing address
3262 Wellons Blvd
New Bern, NC 28562-5234
Phone (252) 635-6770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423V | Other | NC | BCBS PROVIDER NUMBER |
| 7701949 | Medicaid | NC |
Other names 1
- Second Nature
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930068162 | NC | DME Supplier - Medical Supply Company With Prosthetic Personnel | 2567582513 | Practice locations: New Bern, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Second Nature | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3262 Wellons Blvd
New Bern, NC 28562
Phone (252) 635-6770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1073663373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3262 WELLONS BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625234",
"telephone_number": "252-635-6770",
"fax_number": "252-635-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3262 WELLONS BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625234",
"telephone_number": "252-635-6770",
"fax_number": "252-635-9577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEST ME OUT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "GASKILL",
"authorized_official_first_name": "JANIS",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-635-6770",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.M.F."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NC",
"license": "018518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0423V",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701949",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Second Nature",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.